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PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE NPI 1952857823


NPI Information

NPI: 1952857823
Provider Name: PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6080 HELLYER AVE
SUITE 100
SAN JOSE, CA
ZIP 95138
Phone: (408) 440-0930
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PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE is a medical specialty clinic center in San Jose, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE NPI is 1952857823. The provider is registered as an organization entity type.

The provider's business location address is:

6080 HELLYER AVE
SUITE 100
SAN JOSE, CA
ZIP 95138-052
Phone: (408) 440-0930
Fax: (408) 440-0389

The provider's authorized official is Brice William Blatz .
The authorized official title is Owner and has the following contact phone number (408) 440-0930.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 9/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyA124037CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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